Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Marie Clarke

Individual provider Pediatric Registered Nurse · NPI 1902749302

Kelli Marie Clarke is a Pediatric Registered Nurse in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2026
Specialties on file
2

Practice location Address checks out

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 E Brickyard Rd Apt 530, Salt Lake City, UT 84106-4443 — (801) 662-1000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11129491-4405 (UT)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 11129491-3102 (UT)

Record details

NPI number1902749302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Other providers in Salt Lake City